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The Grand Home Of Marshall
Administrator Registered Nurse in Marshall, Michigan
NPI 1669553574

The Grand Home Of Marshall is an Administrator Registered Nurse based in Marshall, MI and is specialized in Administrator. The Grand Home Of Marshall practices in Marshall, MI. The NPI Number for The Grand Home Of Marshall is 1669553574 and holds a License No. 4704175126 (Michigan).

The current practice location address for The Grand Home Of Marshall is 111 N Grand St, Marshall, MI and can be reached out via phone at 269-789-1111 and via fax at 269-789-1212.

Location: 111 N Grand St, Marshall, MI, 49068-1503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669553574
Provider Name
The Grand Home Of Marshall
Credential
Provider Entity Type
Organization
Address
111 N Grand St, Marshall, MI, 49068-1503
Phone Number
269-789-1111
Fax Number
269-789-1212
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101093562399 05 IN
institution
Provider Business Practice Location Address Details
Address
111 N Grand St
City
Marshall
State
Michigan
Zip
49068-1503
Phone Number
269-789-1111
Fax Number
269-789-1212
person
Provider Business Mailing Address Details
Address
111 N Grand St
City
Marshall
State
Michigan
Zip
49068-1503
Phone Number
269-789-1111
Fax Number
269-789-1212
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
163WA2000X
License No.
4704175126 (Michigan)
Definition
Definition to come...
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